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Intern

al use

IFEM SIG - Emergency Ultrasound

POCUS in ED-Lung Ultrasound


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Point of care lung ultrasound has great role in evaluating
undifferentiated breathing difficulty patients arriving to
Emergency Department (ED)

Bedside Lung Ultrasound in Emergency (BLUE) protocol

BLUE
POINTS
Upper BLUE point

Lower BLUE point

PLAPS
POINT
Intersection of a
horizontal line at the
level of the lower
BLUE-point; a vertical
line at the posterior
axillary line

PLEURAL LINE

A LINES B LINES

A Profile B Profile C Profile A'-Profile


Lung Sliding Present Lung Sliding Lung Lung Sliding absent
+ + consolidation; Tissue-like +
A Lines B Lines pattern A Lines
(Reverberation Artifacts, (Comet-tail Artifacts) M- MODE - BARCODE SIGN
false images of pleural line)

SHRED SIGN QUAD SIGN SINUSOID SIGN AIR BRONCHOGRAM


LUNG POINT
Lung consolidation Pleural effusion Pleural effusion Air-filled bronchi
Denotes margin of a
subpleural region that consists of four lines (M-MODE) being made visible by
pneumothorax
has an irregular representing the pleura, respiratory variation the opacification of
(shredded) deep border rib, fluid, and lung decreases the distance surrounding alveoli
abutting normally between the parietal (grey/white)
aerated lung and visceral pleura

The 22nd International Conference on Emergency Medicine l Amsterdam, The Netherlands l June 13 - 16, 2023

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